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Individual

CASSANDRA ANN SHEDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-8700
(920) 456-5901

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14019
WI
363LF0000X
Family Nurse Practitioner
14019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100240786
WI
Enumeration date
05/30/2023
Last updated
09/05/2023
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